Inaliti yeFondaparinux
-Delile
- Ngaphambi kokusebenzisa umjovo we-fondaparinux,
- Umjovo we-Fondaparinux ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
Uma une-epidural noma i-spinal anesthesia noma i-puncture yomgogodla ngenkathi usebenzisa i-'gner thinner 'efana nomjovo we-fondaparinux, usengozini yokuba nefomu le-clot yegazi emgogodleni noma ezungeze umgogodla wakho ongakwenza ukuthi ukhubazeke. Tshela udokotela wakho uma uke wahlinzwa umgogodla, izinkinga zomuthi wezinhlungu onikezwa ngomgogodla, ukukhubazeka komgogodla, noma uma unezinkinga zokopha. Tshela udokotela wakho kanye nosokhemisi uma uthatha amanye ama-anticoagulants ('blood thinner') afana ne-warfarin (Coumadin), i-anagrelide (Agrylin), i-aspirin noma i-nonsteroidal anti-inflammatory (ibuprofen, naproxen), cilostazol (Pletal), clopidogrel (Plavix) ), dipyridamole (Persantine), eptifibatide (Integrilin), prasugrel (Effient), ticlopidine, ne-tirofiban (Aggrastat). Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ubuthakathaka bemisipha, ukuba ndikindiki noma ukuncinza (ikakhulukazi emilenzeni yakho), noma ukungakwazi ukuhambisa imilenze yakho.
Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho angalawula izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho kumjovo we-fondaparinux.
Khuluma nodokotela wakho ngengozi yokusebenzisa umjovo we-fondaparinux.
Umjovo we-Fondaparinux usetshenziselwa ukuvimbela i-vein thrombosis ejulile (i-DVT; igazi elijiyile, imvamisa emlenzeni), okungaholela embolism ye-pulmonary embolism (PE; a clot yegazi emaphashini), kubantu abahlinzwa okhalweni, okhalweni noma emadolweni ukufaka esikhundleni, noma ukuhlinzwa esiswini. Ibuye isetshenziswe kanye ne-warfarin (Coumadin, Jantoven) ukwelapha i-DVT noma i-PE. Umjovo we-Fondaparinux usekilasini lemithi ebizwa nge-factor Xa inhibitors. Isebenza ngokunciphisa ikhono lokuvala igazi.
Umjovo we-Fondaparinux uza njengesisombululo (uketshezi) esizofakwa ngomgogodla (ngaphansi kwesikhumba) endaweni engezansi kwesisu. Imvamisa inikezwa isikhathi esisodwa ngosuku izinsuku ezinhlanu kuya kwezi-9 noma kwesinye isikhathi kuze kube yinyanga eyodwa. Cishe uzoqala ukusebenzisa umjovo we-fondaparinux ngenkathi usesibhedlela okungenani amahora angu-6 kuya kwayi-8 ngemuva kokuhlinzwa kwakho. Sebenzisa umjovo we-fondaparinux ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa umjovo we-fondaparinux njengoba uqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyijoje kaningi kunokuyalelwa ngudokotela wakho.
Uma uzoqhubeka nokusebenzisa i-fondaparinux ngemuva kokuhlala kwakho esibhedlela, ungazijovela i-fondaparinux ngokwakho noma umngane noma isihlobo senze imijovo. Buza udokotela wakho noma usokhemisi ukuthi akubonise noma umuntu ozobe ejova umuthi ukuthi ungawujova kanjani. Ngaphambi kokusebenzisa umjovo we-fondaparinux okokuqala, funda Imininingwane Yesiguli eza nayo. Lolu lwazi lufaka izinkomba zokuthi ungasebenzisa kanjani futhi ujove imijovo yokuphepha ekhethiwe ye-fondaparinux. Qiniseka ukuthi ubuza usokhemisi noma udokotela wakho uma unemibuzo mayelana nokuthi ungawujova kanjani lo muthi.
Isirinji ngayinye inemithi eyanele kuyo ngokudubula okukodwa. Ungasebenzisi isirinji nenaliti isikhathi esingaphezu kwesisodwa. Udokotela wakho, usokhemisi, noma umhlinzeki wezokunakekelwa kwempilo uzokutshela ukuthi ungazilahla kanjani izinaliti ezisetshenzisiwe namasirinji ngokuphepha.
Ungahlanganisi umjovo we-fondaparinux neminye imithi noma izixazululo.
Umjovo we-Fondaparinux kwesinye isikhathi usetshenziselwa ukusiza ukuvimbela amahlule egazi kubantu abahlaselwe yisifo senhliziyo. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.
Ngaphambi kokusebenzisa umjovo we-fondaparinux,
- Tshela udokotela wakho kanye nosokhemisi uma ngabe uke waba ne-allergic reaction (ubunzima bokuphefumula noma ukugwinya noma ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo) ku-fondaparinux. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-fondaparinux. Phinda utshele udokotela wakho uma uxabana nanoma imuphi omunye umuthi, noma yiziphi izithako zomjovo we-fondaparinux. Buza usokhemisi wakho ukuthola uhlu lwezithako. Phinda utshele udokotela wakho kanye nosokhemisi uma unegciwane ku-latex.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imithi efakwe kuhlu esigabeni ESIBALULEKILE SESEXWAYISO. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma unesisindo esingamakhilogremu ayi-50 noma ngaphansi, opha noma kuphi emzimbeni wakho noma unenombolo ephansi yamaplatelets (amaseli aqinisa igazi) egazini lakho, i-endocarditis (isifo esitholakala enhliziyweni), noma isifo sezinso. Udokotela wakho mhlawumbe uzokutshela ukuthi ungasebenzisi umjovo we-fondaparinux.
- Tshela udokotela wakho uma uke waba nezilonda esiswini noma emathunjini, umfutho wegazi ophakeme, isifo sohlangothi noma i-ministroke (TIA), isifo samehlo ngenxa yesifo sikashukela, noma isifo sesibindi. Phinda utshele udokotela wakho uma usanda kuhlinzwa ubuchopho, iso, noma umgogodla.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha umjovo we-fondaparinux, shayela udokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha umjovo we-fondaparinux.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Nikeza umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula.Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ongaphezu koyedwa womjovo we-fondaparinux ngasikhathi sinye.
Umjovo we-Fondaparinux ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukuqubuka, ukulunywa, ukulinyazwa, noma ukopha endaweni yokujova
- isiyezi
- ukudideka
- isikhumba esiphaphathekile
- amabhamuza esikhunjeni
- ubunzima bokulala noma ukulala
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:
- ukopha okungajwayelekile noma ukulinyazwa
- amabala abomvu amnyama ngaphansi kwesikhumba noma emlonyeni
- isifuba
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo
- ubunzima bokugwinya noma ukuphefumula
Umjovo we-Fondaparinux ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa lo muthi.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela ukuthi ungayigcina kanjani imithi yakho. Gcina imithi yakho kuphela njengoba iqondisiwe futhi ingafinyeleleki ezinganeni. Qiniseka ukuthi uyaqonda ukuthi uyigcina kanjani imithi yakho ngokufanele. Ungafaki umjovo we-fondaparinux.
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- ukopha
Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthola umjovo we-fondaparinux.
Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
- I-Arixtra®
- Fondaparin sodium